| NPI | 1689856296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH00039546) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR RPH-0011035) |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2007-12-05 |