| 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 |