| NPI | 1659648244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH 60123558) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 58367) |
| Enumeration Date | 2011-11-26 |
| Last Update Date | 2011-11-26 |