| NPI | 1134597982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60481183) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR RPH-0014756) |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2015-09-10 |