| NPI | 1922383363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60170855) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 16519-040) |
| 183500000X Pharmacist (Licence: TX 49930) | |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2014-07-26 |