| NPI | 1639836125 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH030093)  | 
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202214286)  | 
| 183500000X Pharmacist (Licence: DC PH100002097)  | |
| Enumeration Date | 2021-11-19 | 
| Last Update Date | 2021-11-19 |