| NPI | 1871878579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 21461) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH021773) |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2011-10-14 |