| NPI | 1871888719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 19175) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60000820) |
| 183500000X Pharmacist (Licence: VA 0202208359) | |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2011-06-17 |