| NPI | 1790183259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 0000039348) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 121020) |
| Enumeration Date | 2014-12-16 |
| Last Update Date | 2016-03-16 |