| NPI | 1386015667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 25404) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH028805) |
| 183500000X Pharmacist (Licence: SC PH.36291 PH) | |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2015-10-13 |