| NPI | 1760463608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR RPH-0010263) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ID P-4983) |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2007-07-08 |