| NPI | 1629282728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 22035) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP439027) |
| 183500000X Pharmacist (Licence: WA PH00040743) | |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2022-08-30 |