| NPI | 1942675277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA ph60707292) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA rp446868) |
| Enumeration Date | 2015-12-11 |
| Last Update Date | 2017-05-05 |