| NPI | 1205272283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO PHA0018715) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60078200) |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2013-05-23 |