| NPI | 1861725970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60091766) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR RPH-0011816) |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2019-08-20 |