| NPI | 1609527258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH61182338) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NM rp00009670) |
| Enumeration Date | 2022-01-14 |
| Last Update Date | 2025-08-08 |