| 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 |