| NPI | 1235564980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 10815) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA 022804) |
| 183500000X Pharmacist (Licence: FL PS48933) | |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2018-02-26 |