| NPI | 1174987028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT 09113) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH25136) |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2016-10-27 |