| NPI | 1922566421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60874895) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA RPH79266) |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2019-03-04 |