| NPI | 1962721746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH00069947) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO PHA-16103) |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2010-05-19 |