| NPI | 1710984190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA 20228) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL 13741) |
| 183500000X Pharmacist (Licence: FL PS 47072) | |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2020-02-10 |