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 |