| NPI | 1205121779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 006821) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 0000003763) |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2011-06-13 |