| NPI | 1902194327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 33784) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL 16291) |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2011-07-19 |