| NPI | 1760811707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH00052525) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ID p6514) |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2013-11-08 |