| NPI | 1487920492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH024708) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL 15603) |
| Enumeration Date | 2012-03-25 |
| Last Update Date | 2012-03-25 |