| NPI | 1346650066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60224161) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS42393) |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2014-05-02 |