| NPI | 1770896912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ 14126) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA 51412) |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2010-10-09 |