| NPI | 1083792055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH 60048682) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 44001) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2009-09-02 |