| NPI | 1033596705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60455836) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 70154) |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2015-05-01 |