| NPI | 1770811432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 18262) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS30640) |
| 183500000X Pharmacist (Licence: GA RPH20107) | |
| 183500000X Pharmacist (Licence: SC 8990) | |
| Enumeration Date | 2009-11-18 |
| Last Update Date | 2011-03-05 |