| NPI | 1184224305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH25824) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 16197) |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |