| NPI | 1528334265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA 00014696) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 17762) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2012-03-27 |