| NPI | 1285982280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH27061) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NH 3537) |
| 183500000X Pharmacist (Licence: CT PCT.0012545) | |
| Enumeration Date | 2012-08-22 |
| Last Update Date | 2014-11-17 |