| NPI | 1043652647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH234409) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 23035) |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2013-07-23 |