| NPI | 1760800874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID P6881) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60395280) |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2020-06-15 |