| NPI | 1043891864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NH PHYC-00997) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA 238272) |
| Enumeration Date | 2021-04-15 |
| Last Update Date | 2021-04-15 |