| NPI | 1295092773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA IR 60247537) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ID E18417) |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2012-04-20 |