| NPI | 1265431852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 11655) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302034435) |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2012-12-27 |