| NPI | 1740584382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS19511) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH13656) |
| Enumeration Date | 2010-12-22 |
| Last Update Date | 2010-12-22 |