| NPI | 1073736336 |
|---|---|
| Former Name | ALISON MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA 70177) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR 11429) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2010-10-22 |