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 |