| NPI | 1861754459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID P6547) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60221518) |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2012-06-11 |