| NPI | 1639546757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60560808) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NE 14279) |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2015-08-24 |