| NPI | 1235564329 |
|---|---|
| Former Name | DIANA JOY GABRIEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 37211) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA 022985) |
| Enumeration Date | 2013-09-07 |
| Last Update Date | 2015-02-02 |