| NPI | 1063786291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR RPH-0012628) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA ph00072589) |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2012-03-06 |