NPI | 1801257290 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60261739) |
Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202209426) |
Enumeration Date | 2016-03-11 |
Last Update Date | 2016-03-11 |