| NPI | 1275941742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60570736) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ S020698) |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2015-09-29 |