| NPI | 1649612789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH029652) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 14218) |
| 183500000X Pharmacist (Licence: VA 0202212216) | |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2020-07-21 |