| NPI | 1558775569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA 21764) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT 07941) |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2014-06-17 |