| NPI | 1114270659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 8454) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 7920) |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2012-10-22 |