| NPI | 1780092023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60477417) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO PH.0020550) |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2022-02-14 |