| NPI | 1104190875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MS 010189) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 29410) |
| Enumeration Date | 2012-02-28 |
| Last Update Date | 2012-02-28 |