| NPI | 1861779688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 10373) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 12118) |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2011-11-08 |