| NPI | 1154685782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202211440) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 36739) |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2012-06-28 |