| NPI | 1932563632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS41735) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH00040946) |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2016-04-08 |