| NPI | 1306145594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60112490) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2009011858) |
| 183500000X Pharmacist (Licence: OR RPH-0013976) | |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2014-03-10 |