| NPI | 1093076481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH00061651) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ s014381) |
| Enumeration Date | 2012-06-02 |
| Last Update Date | 2021-04-09 |