| NPI | 1619161643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH00048119) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 16689) |
| 183500000X Pharmacist (Licence: OR RPH0010958) | |
| Enumeration Date | 2007-09-03 |
| Last Update Date | 2007-12-25 |