| NPI | 1003181959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH00009368) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AK PHA P 1364) |
| Enumeration Date | 2012-03-11 |
| Last Update Date | 2012-03-11 |