| NPI | 1770137432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR 10538) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA 60712938) |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2024-01-26 |