| NPI | 1700162815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 29703) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA 023768) |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2011-11-02 |