| NPI | 1972880441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60172317) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS46386) |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2012-06-14 |