| NPI | 1376995571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH236202) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NH 4050) |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2016-07-12 |