| NPI | 1659581742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ 13226) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA 14313) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2022-05-20 |