| NPI | 1164791018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH020605) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 12953-040) |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2011-12-21 |