| NPI | 1679840250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MT 6057) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH00070241) |
| Enumeration Date | 2011-11-25 |
| Last Update Date | 2011-11-25 |