| NPI | 1336418599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60223840) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ID P6616) |
| 183500000X Pharmacist (Licence: ID CS18095) | |
| Enumeration Date | 2011-12-16 |
| Last Update Date | 2014-03-13 |