| NPI | 1235733502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 0000011429) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WV RP0004455) |
| Enumeration Date | 2020-11-26 |
| Last Update Date | 2020-11-26 |