| NPI | 1639521685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60688144) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 26168) |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2021-12-08 |