| NPI | 1629061809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH014110) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP-034325-R) |
| 183500000X Pharmacist (Licence: FL PS20770) | |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2007-07-08 |