| NPI | 1235290065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH00015904) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ID P4857) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2007-07-08 |