| NPI | 1457681595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60102055) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 19289) |
| Enumeration Date | 2010-01-13 |
| Last Update Date | 2012-05-21 |