| NPI | 1689058059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 39357) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH028589) |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2015-07-16 |