| NPI | 1083961080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ND RPh5555) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60280223) |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2015-11-23 |