| NPI | 1629349550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH00057051) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60008869) |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2012-01-24 |