| NPI | 1295022150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH023948) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA 018623) |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2011-11-22 |