| NPI | 1235789942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR RPH-0017461) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60981498) |
| Enumeration Date | 2019-09-14 |
| Last Update Date | 2019-09-14 |