| NPI | 1588649057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH00058278) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 117499-3) |
| 183500000X Pharmacist (Licence: OR RPH-0010553) | |
| 183500000X Pharmacist (Licence: HI PH-2416) | |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2008-06-05 |