| NPI | 1669889309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26019358A) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: KY 012269) |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2014-07-15 |