| NPI | 1588983720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH00054594) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR 9316) |
| 183500000X Pharmacist (Licence: IA 18660) | |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2010-05-27 |