| NPI | 1205052511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH00066081) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR RPH-0012649) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2013-12-19 |