| NPI | 1417959578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH00018242) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR RPH0009059) |
| Enumeration Date | 2005-06-02 |
| Last Update Date | 2007-07-08 |