| NPI | 1205030210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS 24271) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA 015709) |
| 183500000X Pharmacist (Licence: SC 07421) | |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2011-11-16 |