| NPI | 1508291147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WY 3637) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60383752) |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2015-06-26 |