| NPI | 1821378555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MS 09979) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 34412) |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2014-03-17 |