| NPI | 1063705549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60162083) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 21391) |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2011-05-17 |