| NPI | 1043760689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT 6269) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA 25573) |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2016-10-06 |