| NPI | 1144607987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: RI 03103) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT 09124) |
| 183500000X Pharmacist (Licence: MA 20351) | |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2021-02-22 |