| NPI | 1598065005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH00060211) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ S017865) |
| Enumeration Date | 2010-10-31 |
| Last Update Date | 2015-03-02 |