| NPI | 1629440201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH00013753) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 41274) |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2015-10-22 |