| NPI | 1801176334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS45465) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60017390) |
| Enumeration Date | 2011-08-29 |
| Last Update Date | 2011-08-29 |