| NPI | 1790269264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60875892) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH028643) |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2018-09-21 |