| NPI | 1548642044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS51741) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH029551) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2018-01-19 |