| NPI | 1679902886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA 60566144) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR RPH-0013907) |
| 183500000X Pharmacist (Licence: MT PHA-PHA-LIC-18863) | |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2017-09-13 |