| NPI | 1013274588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA IR 60216181) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ID E18146) |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2012-04-20 |