| NPI | 1255742136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH018859) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 8882) |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2014-05-14 |