| NPI | 1669799870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA 60135313) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL 15620) |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2018-04-18 |