| NPI | 1184046104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60423367) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 20 057355) |
| 183500000X Pharmacist (Licence: OR RPH0013922) | |
| Enumeration Date | 2014-01-10 |
| Last Update Date | 2014-01-10 |