| NPI | 1326661653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH241380) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: MA PI63990) |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2024-10-01 |