| NPI | 1619214137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 0000005608) |
| Additional Taxonomies | 208D00000X General Practice (Licence: TN MD0000040698) |
| Enumeration Date | 2013-01-04 |
| Last Update Date | 2013-01-04 |