| NPI | 1255152534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH1001275) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT PCT.0014194) |
| Enumeration Date | 2024-10-21 |
| Last Update Date | 2025-07-08 |