| NPI | 1053447284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH00066844) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: UT 5032945-1701) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2007-07-08 |