NPI | 1124027578 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH00053025) |
Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS37894) |
Enumeration Date | 2005-07-19 |
Last Update Date | 2007-07-08 |