| NPI | 1306356191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT PCT.0006175) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH19257) |
| 183500000X Pharmacist (Licence: FL PS57124) | |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2017-10-05 |