| NPI | 1669776340 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1835C0207X Pharmacist, Compounded Sterile Preparations (Licence: IN 26017319A) | 
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26017319A) | 
| Enumeration Date | 2011-01-10 | 
| Last Update Date | 2024-08-31 |