| NPI | 1851902712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AK PHAP1558) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH00055983) |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2020-08-13 |