| NPI | 1851640312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60296039) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 67263) |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2012-08-30 |