| NPI | 1053796532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR RPH-0012770) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH 60218355) |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2015-07-27 |