| NPI | 1952932725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60972909) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ID P8632) |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2020-02-12 |