| NPI | 1558813931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60713343) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA IR60574215) |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2019-10-24 |