| NPI | 1316253248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60167788) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: UT 6092318-1701) |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2020-12-29 |