| NPI | 1689821373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60069979) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 16915) |
| 183500000X Pharmacist (Licence: OR RPH-0010327) | |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2012-08-11 |