| NPI | 1205813938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH00007130) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ID P3222) |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2007-07-30 |