| NPI | 1558693861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60092294) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 19171) |
| Enumeration Date | 2010-02-11 |
| Last Update Date | 2011-08-09 |