| NPI | 1801305651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60782948) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 60805) |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2022-07-21 |