| NPI | 1932504008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60556897) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ID P7357) |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2015-09-11 |