| 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 |