| NPI | 1063699981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S019119) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH00057859) |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2014-06-04 |