| NPI | 1356622641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH233311) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NH 3723) |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2011-08-31 |