| NPI | 1700197209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 0000013093) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH021621) |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2010-06-30 |