| NPI | 1912264995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60478099) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 67026) |
| 183500000X Pharmacist (Licence: IL 051.294819) | |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2018-10-15 |