| NPI | 1003320326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH22274) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS34036) |
| 183500000X Pharmacist (Licence: OH 03223091) | |
| Enumeration Date | 2017-11-22 |
| Last Update Date | 2017-11-22 |