| NPI | 1316498397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH00047956) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ID P5501) |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2016-10-14 |