| NPI | 1033645072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT 0011216) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH232384) |
| 183500000X Pharmacist (Licence: TN 0000033363) | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |