| NPI | 1558755447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT PCT0013181) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS52816) |
| 183500000X Pharmacist (Licence: NJ 28RI03686900) | |
| 183500000X Pharmacist (Licence: TX 56002) | |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2015-04-05 |