| NPI | 1508202730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: HI PH3412) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60325656) |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2015-06-04 |