| NPI | 1538435813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH 00017183) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 25888) |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2012-03-30 |