| NPI | 1528359361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH 60189658) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ID P6102) |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2023-05-15 |