| NPI | 1952553679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 45514) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH00065843) |
| Enumeration Date | 2008-10-13 |
| Last Update Date | 2021-06-15 |