| NPI | 1104532597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH27250) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MS T-100566) |
| 183500000X Pharmacist (Licence: NV 23308) | |
| 183500000X Pharmacist (Licence: NJ 28RI03197500) | |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2023-01-30 |