| NPI | 1962646943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH021651) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH00069487) |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2009-04-22 |