| NPI | 1528150570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH00041147) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS00021784) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2007-07-08 |