| NPI | 1285149682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA 25495) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT 7050) |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2020-08-17 |