| NPI | 1992113500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60314134) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ID P6720) |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2014-07-28 |