| NPI | 1326389255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03-2-21221) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: HI PH-2652) |
| 183500000X Pharmacist (Licence: FL PS 48749) | |
| Enumeration Date | 2013-03-01 |
| Last Update Date | 2013-03-01 |