| NPI | 1568879609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH00070072) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ID P6076) |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2023-11-08 |