| NPI | 1912325770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH026360) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 22096) |
| Enumeration Date | 2014-03-30 |
| Last Update Date | 2014-03-30 |