| NPI | 1124300728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH27554) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 21465) |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2018-12-04 |