| NPI | 1659822971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60064750) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ID P4038) |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2016-10-21 |