| NPI | 1679023568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA 60660161) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT 0012025) |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2016-10-04 |