| NPI | 1841574035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 22154) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 15339) |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2011-10-05 |