| NPI | 1568637080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID P6010) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH00065015) |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2008-04-25 |