| NPI | 1053538710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA 15797) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NH 1845) |
| 183500000X Pharmacist (Licence: FL 13636) | |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2016-02-25 |