| NPI | 1548987902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183700000X Pharmacy Technician (Licence: WA VA61259034) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: WA VA61259034) |
| Enumeration Date | 2022-10-25 |
| Last Update Date | 2022-10-26 |