| NPI | 1992965453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MS 010200) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 32394) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2012-11-29 |