| NPI | 1508150772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 30381) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 18370) |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2012-12-30 |