| NPI | 1528513819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA 60642381) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ID p5046) |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2016-08-17 |