| NPI | 1891156329 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60576265) | 
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP449706) | 
| Enumeration Date | 2016-03-10 | 
| Last Update Date | 2016-07-20 |