| NPI | 1942553201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH00057216) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR RPH-0010130) |
| 183500000X Pharmacist (Licence: MS E-08844) | |
| 225700000X Massage Therapist (Licence: WA MA 00019814) | |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2012-10-23 |