| NPI | 1104149087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60277420) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ S017297) |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2017-06-26 |