| NPI | 1760528707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA ph00052693) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 55195) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2007-07-10 |