| NPI | 1255625026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR 11706) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA 21856) |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2011-06-08 |