| NPI | 1043544331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID p6287) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA ph6009072) |
| Enumeration Date | 2009-09-20 |
| Last Update Date | 2022-03-30 |