| NPI | 1659358810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA P00014504) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA P14504) |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2008-06-10 |