| NPI | 1568013514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60956924) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 124557) |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2019-09-26 |