| NPI | 1235137951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA 51930) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA PHA 31876) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2017-04-13 |