| NPI | 1114130176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 12127) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AK 1609) |
| 183500000X Pharmacist (Licence: KY 014787) | |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2010-03-12 |