| NPI | 1912121294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AK 1100) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 0000007877) |
| 183500000X Pharmacist (Licence: GA RPH015603) | |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2007-07-08 |