| NPI | 1114295755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR 0012720) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60227646) |
| Enumeration Date | 2011-12-11 |
| Last Update Date | 2015-10-05 |