| NPI | 1174804470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH25499) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NH R1856) |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2013-05-17 |