| NPI | 1376945006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH026668) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 55459) |
| 183500000X Pharmacist (Licence: NY 058910) | |
| 183500000X Pharmacist (Licence: VA 0202211514) | |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2014-09-25 |