| NPI | 1689124950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60275090) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR RPH 0014827) |
| 183500000X Pharmacist (Licence: MT PHA-PHA-LIC 12211) | |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2016-10-10 |