| NPI | 1922491026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60726412) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NM RP00008265) |
| Enumeration Date | 2015-03-13 |
| Last Update Date | 2018-11-21 |