| NPI | 1144646688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60387127) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 21791) |
| Enumeration Date | 2014-03-07 |
| Last Update Date | 2014-03-07 |