| NPI | 1053721084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR RPH-0008318) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 25272) |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2014-04-29 |