| NPI | 1710361886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH017488) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS 28018) |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2015-07-17 |