| NPI | 1235789538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH031282) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 42640) |
| 183500000X Pharmacist (Licence: TX 65491) | |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2019-09-18 |