| NPI | 1326481136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60368015) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA IR 60088534) |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2017-10-17 |