| NPI | 1013991561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302033123) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH00057161) |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2007-10-18 |