| NPI | 1578862496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC PH10625) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH012683) |
| Enumeration Date | 2011-03-17 |
| Last Update Date | 2011-03-17 |