| NPI | 1780013045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 31939) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS21042) |
| 183500000X Pharmacist (Licence: NC 09427) | |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2015-07-08 |