| NPI | 1891025789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NM nm00006691) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA ph60095961) |
| Enumeration Date | 2009-12-28 |
| Last Update Date | 2009-12-28 |