| NPI | 1457803785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR 0009992) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA 00042975) |
| Enumeration Date | 2016-11-03 |
| Last Update Date | 2016-11-03 |