| NPI | 1891051967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH 00041399) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA RPH 55225) |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2012-04-03 |