| NPI | 1487921250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH00039692) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR 0009739) |
| Enumeration Date | 2011-11-22 |
| Last Update Date | 2019-11-29 |