| NPI | 1336202092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH00049641) |
| Additional Taxonomies | 1835X0200X Pharmacist, Oncology (Licence: TX 28333) |
| Enumeration Date | 2006-12-17 |
| Last Update Date | 2007-07-08 |