| NPI | 1700169174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH016032) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 07473) |
| 183500000X Pharmacist (Licence: FL PS21295) | |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2011-09-22 |