| NPI | 1467705459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60284760) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WV RP0007693) |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2012-10-16 |