| NPI | 1912068545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH00018025) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR 9350) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2013-09-23 |