| NPI | 1205238417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60379303) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 53971) |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2014-09-18 |