| NPI | 1013149491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR Rph0011648) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA Ph00048844) |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2009-08-18 |