| NPI | 1902280696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 66406) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 41459) |
| 183500000X Pharmacist (Licence: KY 017750) | |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2020-08-21 |