| NPI | 1831183151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH00042666) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA ph0004266) |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2007-07-08 |