| NPI | 1700303864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA rph028910) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL 55940) |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2017-08-29 |