| NPI | 1558659177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA 60224060) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AK 1792) |
| Enumeration Date | 2011-07-17 |
| Last Update Date | 2011-07-17 |