| NPI | 1609277680 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 183500000X Pharmacist (Licence: NV 18847)  | 
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR RPH-0014415)  | 
| 183500000X Pharmacist (Licence: WA PH60503967)  | |
| Enumeration Date | 2014-09-10 | 
| Last Update Date | 2022-10-10 |