| NPI | 1790787109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AK 1457) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH00041432) |
| 183500000X Pharmacist (Licence: FL PS38413) | |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2007-07-08 |