| NPI | 1770984338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60789577) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL ps52494) |
| Enumeration Date | 2014-09-14 |
| Last Update Date | 2019-10-15 |