| NPI | 1164738514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA 17298) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NH R1779) |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2010-08-24 |