| NPI | 1720324361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR 9366) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ID p5251) |
| 183500000X Pharmacist (Licence: WA PH00040256) | |
| Enumeration Date | 2013-01-01 |
| Last Update Date | 2013-01-01 |