| NPI | 1194155085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 10775) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 33803) |
| 183500000X Pharmacist (Licence: KY 015768) | |
| Enumeration Date | 2013-11-14 |
| Last Update Date | 2013-11-14 |