| NPI | 1205386141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH029076) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS37842) |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2020-10-01 |