| NPI | 1194054080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH00067965) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ 14167) |
| Enumeration Date | 2009-12-23 |
| Last Update Date | 2009-12-23 |