| NPI | 1871879932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA ph60228194) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AK pha p 2041) |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2014-01-11 |