| NPI | 1164781092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60549755) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ID P7510) |
| Enumeration Date | 2012-05-12 |
| Last Update Date | 2016-09-19 |