| NPI | 1659613677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH025154) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202205853) |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2013-09-27 |