| NPI | 1093726184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH00042316) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ 9860) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2008-06-02 |