| NPI | 1942596432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH00059667) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR RPH0012080) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2011-06-22 |