| NPI | 1124271952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60013280) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR RPH-0011356) |
| 183500000X Pharmacist (Licence: NM RP00007272) | |
| Enumeration Date | 2008-10-24 |
| Last Update Date | 2011-10-26 |