| NPI | 1306112115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 22305) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS44006) |
| 183500000X Pharmacist (Licence: GA RPH024755) | |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2012-03-26 |