| NPI | 1962011940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH.61076129) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302412561) |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2023-09-10 |