| NPI | 1811355654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID P6299) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60259442) |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2016-02-08 |