| NPI | 1609174465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC PH11528) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH017570) |
| 183500000X Pharmacist (Licence: WA PH00042981) | |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2011-03-03 |