| NPI | 1124485867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT PCT0007896) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH21862) |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2016-01-26 |