| NPI | 1710379359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60546455) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA IR60245951) |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2021-09-10 |