| NPI | 1518275569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AR PDP13909) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 17877) |
| 183500000X Pharmacist (Licence: PA RP038410L) | |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2020-11-30 |