| NPI | 1770856668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 23196) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AK 2048) |
| 183500000X Pharmacist (Licence: GA RPH026947) | |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2021-10-22 |