| NPI | 1558616615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60603463) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 22448) |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2019-04-16 |