| NPI | 1891030011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 13690) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 016292) |
| 183500000X Pharmacist (Licence: TN 23728) | |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2012-11-28 |