| NPI | 1124382015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60371559) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA RPH69804) |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2014-12-10 |