| NPI | 1447690698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH00063788) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ID P6850) |
| 183500000X Pharmacist (Licence: OR RPH-0014039) | |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2020-09-25 |