| NPI | 1518364017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA 61349063) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NE 14731) |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2023-03-04 |