| NPI | 1639693294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH029831) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 19238) |
| 183500000X Pharmacist (Licence: MI 5302040365) | |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2017-07-26 |