| NPI | 1386939619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 11166) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202012479) |
| 183500000X Pharmacist (Licence: KY 013004) | |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2012-08-13 |