| NPI | 1336402213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: UT 48604721701) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60191331) |
| 183500000X Pharmacist (Licence: AZ S016594) | |
| 183500000X Pharmacist (Licence: ID P5889) | |
| Enumeration Date | 2012-06-16 |
| Last Update Date | 2018-04-24 |