| NPI | 1588854970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 76353) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA 27016) |
| 183500000X Pharmacist (Licence: AZ S017043) | |
| 183500000X Pharmacist (Licence: IL 289024) | |
| 183500000X Pharmacist (Licence: CT 0010296) | |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2020-04-28 |