| NPI | 1407138936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MS 010775) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 34441) |
| Enumeration Date | 2011-09-11 |
| Last Update Date | 2020-04-23 |