| NPI | 1174399018 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH997039)  | 
| Additional Taxonomies | 183500000X Pharmacist (Licence: NH PHCY-01595)  | 
| Enumeration Date | 2023-12-01 | 
| Last Update Date | 2023-12-03 |