| NPI | 1205122868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 16969) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH024910) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2015-03-01 |