| NPI | 1750998712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH61057112) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ID P9069) |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2023-01-31 |