| NPI | 1295004513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MS P11797) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 36794) |
| 183500000X Pharmacist (Licence: KY 016015) | |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2012-07-24 |