| NPI | 1568759397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID P6262) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60103813) |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2011-06-30 |