| NPI | 1821202243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA 14491) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL 10706) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-11-18 |