| NPI | 1871869693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60165839) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: HI PH3142) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2022-04-07 |