| NPI | 1669755468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS45590) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH025914) |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2011-09-28 |