| NPI | 1982739868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 10517) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302031305) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2012-03-25 |