| NPI | 1336689405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 55822) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH00017889) |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2017-03-08 |