| NPI | 1124385646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 1-15745) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60227561) |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2016-08-01 |