| NPI | 1962777888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH00018817) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR RPH-0011649) |
| 183500000X Pharmacist (Licence: NY 0354931) | |
| Enumeration Date | 2012-03-09 |
| Last Update Date | 2015-06-05 |