| NPI | 1568897957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH234749) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP449631) |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2020-10-08 |