| NPI | 1013459353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60402949) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 120419) |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2016-11-16 |