| NPI | 1578933727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH 00039621) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR RPH-0010748-P) |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2015-09-30 |