| NPI | 1285934240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: HI ph-2573) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT pct.0010526) |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2010-10-25 |