| NPI | 1639472327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60084061) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 119965) |
| Enumeration Date | 2010-12-17 |
| Last Update Date | 2010-12-17 |