| NPI | 1790010759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS45467) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH025222) |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2013-05-28 |