| NPI | 1265743124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 22279) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WV rp0006664) |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2013-02-01 |