| NPI | 1578940805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60482584) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2011026629) |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2015-05-06 |