| NPI | 1194004317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60230606) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 015468) |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2011-08-04 |