| NPI | 1962568758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH00011413) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AK 1048) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2015-04-27 |