| NPI | 1750411583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL 40390) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH025562) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2022-07-21 |