| NPI | 1023450327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 23371) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60656568) |
| Enumeration Date | 2013-07-27 |
| Last Update Date | 2019-08-16 |