| NPI | 1124677281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 020932) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 42447) |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2019-11-22 |