| NPI | 1780083626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MS E-15119) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 64233) |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2019-03-06 |