| NPI | 1144772419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR 0008687) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA ph00022210) |
| 183500000X Pharmacist (Licence: CA RPH456974) | |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2016-11-02 |