| NPI | 1083988174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR 0012072) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA 60092853) |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2012-03-07 |