| NPI | 1265719330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60211825) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ID P6592) |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2022-02-10 |