| NPI | 1144501149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS60231) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA 022070) |
| Enumeration Date | 2011-09-02 |
| Last Update Date | 2021-07-30 |