| NPI | 1043669807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH00015611) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR 0010460) |
| Enumeration Date | 2016-06-11 |
| Last Update Date | 2016-06-11 |