| NPI | 1265781520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA ph60086920) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 65662) |
| Enumeration Date | 2012-09-02 |
| Last Update Date | 2012-09-02 |