| NPI | 1700669603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH61449788) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ID P10788) |
| Enumeration Date | 2023-08-15 |
| Last Update Date | 2023-08-15 |