| NPI | 1336488543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 41685) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH0004868) |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2013-02-07 |