NPI | 1053400028 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH 00065648) |
Additional Taxonomies | 183500000X Pharmacist (Licence: OR RPH 0010882) |
Enumeration Date | 2006-10-11 |
Last Update Date | 2011-01-14 |