| NPI | 1063799500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH025861) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 19904) |
| Enumeration Date | 2011-11-11 |
| Last Update Date | 2011-11-11 |