| NPI | 1386966281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 49716) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH00066113) |
| 183500000X Pharmacist (Licence: AK 1701) | |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2011-11-11 |