| NPI | 1053631911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60100648) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302036236) |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2011-02-01 |