| NPI | 1265830889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH235673) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NH 4011) |
| Enumeration Date | 2014-12-13 |
| Last Update Date | 2014-12-22 |