| NPI | 1710233176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID P5713) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MT 4728) |
| 183500000X Pharmacist (Licence: WA PH60525988) | |
| Enumeration Date | 2012-08-02 |
| Last Update Date | 2021-05-04 |