| NPI | 1437691995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60970371) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA IR60560680) |
| Enumeration Date | 2016-11-14 |
| Last Update Date | 2019-09-17 |