| NPI | 1467829283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID P6700) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60658522) |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2018-08-26 |