| NPI | 1336553882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA 27072) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL 63676) |
| 183500000X Pharmacist (Licence: NH 01127) | |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2024-01-16 |