| NPI | 1790063873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60561799) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP445532) |
| Enumeration Date | 2011-07-24 |
| Last Update Date | 2015-08-31 |