| NPI | 1780997940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH025534) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 13532) |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2016-10-03 |