| NPI | 1063738862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR 9837) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA 60237024) |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2015-10-01 |