| NPI | 1881132850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA 60583405) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MT 35280) |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2022-06-06 |