| NPI | 1114227519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 63508) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60026279) |
| Enumeration Date | 2010-11-01 |
| Last Update Date | 2012-02-22 |