| NPI | 1285927848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID P6081) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH00065291) |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2011-05-16 |