| NPI | 1699062794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60046770) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA osrph028328) |
| Enumeration Date | 2011-07-09 |
| Last Update Date | 2017-01-23 |