| NPI | 1629355656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 16895) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 0000036003) |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2014-05-19 |