| NPI | 1770863045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH026100) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL 16917) |
| 183500000X Pharmacist (Licence: NC 22932) | |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2012-09-26 |