| NPI | 1386160851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH238039) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT 0013808) |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2020-12-02 |