| NPI | 1174887491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60378484) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: WA IR60084065) |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2014-10-16 |