| NPI | 1376828145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60246743) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS48076) |
| Enumeration Date | 2011-10-12 |
| Last Update Date | 2017-03-21 |