| NPI | 1184804502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH00071666) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AK 1741) |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2013-06-04 |