| NPI | 1780960682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID p5082) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR RPH-0008715) |
| 183500000X Pharmacist (Licence: WA PH00019210) | |
| Enumeration Date | 2011-10-24 |
| Last Update Date | 2011-10-24 |