| NPI | 1083997498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 013480) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL 15444) |
| 183500000X Pharmacist (Licence: TN 31276) | |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2016-02-02 |