| NPI | 1366567604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 22179) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH021929) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2012-09-07 |