| NPI | 1699860247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 15296) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 27470) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |