| NPI | 1144284779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA 14389) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ID P4767) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2007-07-08 |