| NPI | 1295100097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH235593) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NH 4012) |
| Enumeration Date | 2015-12-04 |
| Last Update Date | 2015-12-04 |