| NPI | 1912243072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 12907) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH025900) |
| 183500000X Pharmacist (Licence: VA 0202209512) | |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2012-12-18 |