| NPI | 1306191960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60288618) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH026578) |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2012-07-19 |