| NPI | 1962748475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 22272) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH-026055) |
| Enumeration Date | 2013-01-02 |
| Last Update Date | 2014-09-01 |