| NPI | 1184614893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH00056251) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ID P5870) |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2021-04-21 |