| NPI | 1508115932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH 00013779) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH 60008402) |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2019-09-30 |