| NPI | 1164706131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH023719) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 010663) |
| 183500000X Pharmacist (Licence: TX 039656) | |
| Enumeration Date | 2011-10-07 |
| Last Update Date | 2011-10-07 |