| NPI | 1538415294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60281580) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR RPH-0013209) |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2018-12-21 |