| NPI | 1639351661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA ph00020170) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR 0011034) |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2007-11-30 |