| NPI | 1649369042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR RPH-0010979) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202206344) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2011-12-19 |