| NPI | 1174846323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60586422) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 0507791) |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2016-08-21 |