| NPI | 1023399474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA 19652) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NH R2191) |
| Enumeration Date | 2011-08-30 |
| Last Update Date | 2011-08-30 |