| NPI | 1598985921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA 21631) |
| Additional Taxonomies | 1835N0905X Pharmacist Nuclear (Licence: WA 21631) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2010-05-22 |