| NPI | 1265445522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH00067768) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 43893) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2007-07-08 |