| NPI | 1710447453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR RPH-0017036) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60867123) |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2020-08-04 |