| NPI | 1649396664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH00065626) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 63526) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-12-07 |