| NPI | 1770618415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 13777) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA rph021200) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2017-01-20 |