| NPI | 1649915521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH61301961) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 45340) |
| Enumeration Date | 2022-05-04 |
| Last Update Date | 2025-12-03 |