| NPI | 1114214723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH 60153880) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ID P6417) |
| Enumeration Date | 2011-07-03 |
| Last Update Date | 2012-12-18 |