| NPI | 1932707353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH61101833) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ID P9033) |
| Enumeration Date | 2020-10-16 |
| Last Update Date | 2021-03-18 |