| NPI | 1386155653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA 60723845) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA ph60723845) |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2017-10-13 |