| NPI | 1962517862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH00022554) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: HI PH2187) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2007-07-23 |