| NPI | 1275693269 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT 0011011)  | 
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH00065106)  | 
| Enumeration Date | 2006-12-11 | 
| Last Update Date | 2008-10-02 |