| NPI | 1396178729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60407415) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR RPH-0013713) |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2023-02-14 |