| NPI | 1356627343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 015384) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 034232) |
| Enumeration Date | 2011-10-23 |
| Last Update Date | 2011-10-23 |