| NPI | 1285933754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 64443) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60160105) |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2011-03-22 |