| NPI | 1790055937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH022921) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 45757) |
| 183500000X Pharmacist (Licence: WA PH00063836) | |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2012-01-04 |