| NPI | 1568745982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH26577) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT 8107) |
| 183500000X Pharmacist (Licence: LA 16129) | |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2011-09-21 |