| NPI | 1528340155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60409610) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VT 033.0003176) |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2024-03-07 |