| NPI | 1760762959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S016512) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH00015824) |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2011-08-19 |