| NPI | 1760741466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202209453) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051.290442) |
| 183500000X Pharmacist (Licence: AL 15309) | |
| 183500000X Pharmacist (Licence: WA PH00020933) | |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2012-05-15 |