| NPI | 1396035838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 33730) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MS E-010577) |
| 251E00000X Home Health (Licence: TN 6316) | |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2013-01-31 |