| NPI | 1649638412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH61291753) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 23512) |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2022-12-22 |