| NPI | 1609203314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 9589) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 8250) |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2015-02-09 |