| NPI | 1164840443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH 60384658) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR RPH-0013677) |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2014-04-03 |