| NPI | 1609223320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AK 1919) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH 60093633) |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2016-05-23 |