| NPI | 1043572464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA 00017303) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ 9394) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2012-06-12 |