| NPI | 1124459839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60410069) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS50673) |
| Enumeration Date | 2013-12-05 |
| Last Update Date | 2015-09-24 |