| NPI | 1215110143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR RPH-0009364) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH00039387) |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2007-12-13 |