| NPI | 1053751867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 20288) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT PCT.0011411) |
| 183500000X Pharmacist (Licence: MA PH232982) | |
| 183500000X Pharmacist (Licence: VA 0202209207) | |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2013-06-26 |