| NPI | 1023277894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH00070677) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NE 12692) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2009-01-16 |