| NPI | 1235473463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 11873) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH024705) |
| 183500000X Pharmacist (Licence: VA 0202208983) | |
| Enumeration Date | 2012-11-10 |
| Last Update Date | 2012-11-10 |