| NPI | 1306227186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH27680) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NH 3601) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2022-03-15 |