| NPI | 1811457534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60913098) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302041975) |
| 183500000X Pharmacist (Licence: CA 76377) | |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2019-10-15 |