| NPI | 1558737114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60371494) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MT PHA-PHA-LIC-18346) |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2015-08-18 |