| NPI | 1528460706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60658900) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AR PD13317) |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2017-04-17 |