| NPI | 1649815028 |
|---|---|
| Former Name | SARAH KIMIKO MATSUBARA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60930327) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 63832) |
| Enumeration Date | 2019-11-09 |
| Last Update Date | 2019-11-09 |