| NPI | 1194023002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC SC12795) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 37621) |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2014-02-03 |