| NPI | 1972905172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH028099) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 35805) |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2014-09-18 |