| NPI | 1205172228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH026347) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS47862) |
| Enumeration Date | 2012-12-19 |
| Last Update Date | 2012-12-19 |