| NPI | 1801246293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60592049) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 16523) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2016-06-15 |