| NPI | 1073882817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MT 6137) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60223643) |
| Enumeration Date | 2011-12-23 |
| Last Update Date | 2011-12-23 |