| NPI | 1265812291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NH R2505) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH235149) |
| 183500000X Pharmacist (Licence: NC 23187) | |
| 183500000X Pharmacist (Licence: VA 0202212037) | |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2015-06-04 |