| NPI | 1215291687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH 00051604) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA RPH 55170) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2012-06-29 |