| NPI | 1306127345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 10161) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 6616) |
| Enumeration Date | 2011-09-05 |
| Last Update Date | 2011-09-05 |