| NPI | 1184914814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID p4802) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA ph00016208) |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2013-12-18 |