| NPI | 1972924025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH 60036824) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 25300) |
| 183500000X Pharmacist (Licence: MO 2011027157) | |
| Enumeration Date | 2013-12-16 |
| Last Update Date | 2013-12-16 |