| NPI | 1942730197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 13836) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 42842) |
| 183500000X Pharmacist (Licence: MS E-09255) | |
| 183500000X Pharmacist (Licence: TN 12441) | |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2017-06-19 |