| NPI | 1407270044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 38062) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 016248) |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2019-10-02 |