| NPI | 1932487170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60291293) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR 0012652) |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2016-05-26 |