| NPI | 1023302486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MS E-11866) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: MS 01359) |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2011-08-24 |