| NPI | 1427033075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH00014764) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA P14764) |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2014-11-19 |