| NPI | 1780860650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH023516) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 11832) |
| 183500000X Pharmacist (Licence: VA 0202010970) | |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2008-01-10 |