| NPI | 1942803507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60879639) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH238059) |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2020-11-17 |