| NPI | 1851615744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH00060735) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 37800) |
| 183500000X Pharmacist (Licence: MA ph23868) | |
| Enumeration Date | 2010-03-21 |
| Last Update Date | 2010-03-21 |