| NPI | 1366874133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NH 1477) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT 6024) |
| 183500000X Pharmacist (Licence: MA 19445) | |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2013-08-05 |