| NPI | 1730605338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60758724) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: UT 9813187-1701) |
| 183500000X Pharmacist (Licence: IL 051.298767) | |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2017-08-16 |