| NPI | 1962782508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 008208) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 005154) |
| Enumeration Date | 2011-08-26 |
| Last Update Date | 2011-08-26 |