| NPI | 1922357409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 20520) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60232781) |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2012-08-30 |