| NPI | 1104368232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 11461) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH021029) |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2016-11-07 |