| NPI | 1689957185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH022830) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH25280) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2022-12-21 |