| NPI | 1821366311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH024630) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO PHA18156) |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2011-12-12 |