| NPI | 1770245458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH61166290) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 21093) |
| Enumeration Date | 2021-10-09 |
| Last Update Date | 2021-10-09 |