| NPI | 1366851388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID P6261) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60098255) |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2014-08-04 |