| NPI | 1982597613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH61431026) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 89337) |
| Enumeration Date | 2025-06-02 |
| Last Update Date | 2025-06-02 |