| NPI | 1477802304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID P6596) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AK 2072) |
| 183500000X Pharmacist (Licence: WA PH00061387) | |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2012-09-06 |