| NPI | 1871875419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 54007) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 27466) |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2018-08-17 |