| NPI | 1457783375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 123479) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60389148) |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2024-11-25 |