| NPI | 1508149840 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH012636) | 
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL 10254) | 
| Enumeration Date | 2011-09-22 | 
| Last Update Date | 2011-09-22 |