| NPI | 1821683475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60184032) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ID 38201RP) |
| Enumeration Date | 2021-03-05 |
| Last Update Date | 2021-03-05 |