| NPI | 1952404071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH00039957) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 14893) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2020-12-14 |