| NPI | 1669726774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 016088) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 0000036797) |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2020-01-28 |