| NPI | 1861922064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH.60750459) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA IR60341602) |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2024-02-08 |