| NPI | 1770983488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT PCT.0012934) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60901193) |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2020-11-30 |