| NPI | 1154669810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS46425) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH025906) |
| Enumeration Date | 2013-01-30 |
| Last Update Date | 2013-02-04 |