| NPI | 1679858898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH024441) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS33319) |
| 183500000X Pharmacist (Licence: NY 046617) | |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2011-10-19 |