| NPI | 1962756742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH 00022074) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA RPH 49203) |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2012-11-01 |