| NPI | 1689700783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 15621) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH023411) |
| 183500000X Pharmacist (Licence: FL PS 46823) | |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2015-02-23 |