| NPI | 1073893293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60402571) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ S018672) |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2013-12-10 |