| NPI | 1306115472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NH 3513) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT 0011863) |
| 183500000X Pharmacist (Licence: MA ph232557) | |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2011-12-20 |