| NPI | 1255946299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH239820) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 20325) |
| 183500000X Pharmacist (Licence: CT PCT.0015258) | |
| 183500000X Pharmacist (Licence: OH 03441668) | |
| 183500000X Pharmacist (Licence: AZ S025768) | |
| 1835C0207X Pharmacist, Compounded Sterile Preparations (Licence: MA B12101529) | |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2024-06-23 |