| NPI | 1902279904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID P6156) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA 60018594) |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2022-11-29 |