| NPI | 1659683704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60161103) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR RPH-0013557) |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2014-06-26 |