| NPI | 1104126911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH00014609) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR RPH0007527) |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2010-10-26 |