| NPI | 1114201324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID P6402) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60148812) |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2011-10-06 |