| NPI | 1770991556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH017795) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC PH11014) |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2014-07-24 |