| NPI | 1376130310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR RPH-0017985) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH61098320) |
| Enumeration Date | 2020-12-23 |
| Last Update Date | 2020-12-23 |