| NPI | 1639165509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH016130) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 09338) |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2012-12-13 |