| NPI | 1073761425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH27626) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL ps47088) |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2020-09-25 |