| NPI | 1467991810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH00050429) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 32710) |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2017-02-17 |