| NPI | 1730793308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH61311692) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO PHA.0022905) |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2025-08-04 |