| NPI | 1508292731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH00055898) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 18591) |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2013-09-19 |