| NPI | 1538389663 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR 8557)  | 
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH00018730)  | 
| Enumeration Date | 2007-04-30 | 
| Last Update Date | 2008-10-11 |