| NPI | 1720279797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 13946) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 12854) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2011-09-08 |