| NPI | 1942665542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60490575) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MT PHA-PHA-LIC-25264) |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2015-12-23 |