| NPI | 1912095654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AK 1641) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: UT 4795614-1701) |
| 183500000X Pharmacist (Licence: WA ph00064951) | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2007-07-08 |