| NPI | 1891206652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA 60965839) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR 0016341) |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2022-08-22 |