| NPI | 1043583768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH00019858) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR RPH- 0009223) |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2012-02-10 |