| NPI | 1043628084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR RPH0013155) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60182062) |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2014-07-22 |