| NPI | 1053809673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 38515) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 017334) |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2018-04-30 |