| NPI | 1124305248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 14805-040) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AR PD10474) |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2011-11-03 |