| NPI | 1760705172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 0014794) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60080788) |
| Enumeration Date | 2010-03-12 |
| Last Update Date | 2021-02-02 |