| NPI | 1679245021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH61164963) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ID P9660) |
| Enumeration Date | 2021-10-04 |
| Last Update Date | 2021-10-04 |