| NPI | 1922586593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WY 4090) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60867119) |
| Enumeration Date | 2018-08-05 |
| Last Update Date | 2021-04-27 |