| NPI | 1134568934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH 00054807) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MT 3306) |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2013-06-14 |