| NPI | 1114359650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 29444) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH234807) |
| 183500000X Pharmacist (Licence: NJ 28RI03635800) | |
| 183500000X Pharmacist (Licence: CT PCT.0012664) | |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2020-12-01 |