| NPI | 1255710372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID P6917) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60368614) |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2015-05-21 |