| NPI | 1013252576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 10646) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH021982) |
| 183500000X Pharmacist (Licence: FL PS56162) | |
| 183500000X Pharmacist (Licence: NC 18489) | |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2022-12-01 |