| NPI | 1912262049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH00017611) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ID P4892) |
| Enumeration Date | 2012-07-04 |
| Last Update Date | 2012-07-04 |