| NPI | 1972827764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR RPH0010477) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH00071515) |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2010-03-23 |