| NPI | 1023387966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS34550) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 011932) |
| 183500000X Pharmacist (Licence: WA PH53302) | |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2011-12-23 |