| NPI | 1720365356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AR pd11559) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 11292) |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2011-11-10 |