| NPI | 1679841456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR 12285) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60183506) |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2013-04-15 |