| NPI | 1235361700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR 0006913) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA 00011917) |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2009-08-18 |