| NPI | 1912372806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA rph027621) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL ps51213) |
| Enumeration Date | 2015-12-03 |
| Last Update Date | 2015-12-03 |