| NPI | 1952863706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: UT 369912-1701) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03317005) |
| 183500000X Pharmacist (Licence: TN T-15388) | |
| 183500000X Pharmacist (Licence: TN 0000041999) | |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2019-04-02 |