| NPI | 1174033872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 10641) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH022860) |
| Enumeration Date | 2017-10-07 |
| Last Update Date | 2018-03-17 |