| NPI | 1104183680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA IR60233212) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA INT 28471) |
| 183500000X Pharmacist (Licence: ID E18206) | |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2012-09-15 |