| NPI | 1619316684 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR RPH-0009378)  | 
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH00015914)  | 
| Enumeration Date | 2013-06-22 | 
| Last Update Date | 2013-06-22 |