| NPI | 1093127524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH00071808) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS42568) |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2017-02-06 |