| NPI | 1629219472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH232359) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 051928-1) |
| 183500000X Pharmacist (Licence: CT 10891) | |
| 183500000X Pharmacist (Licence: PA RP442117) | |
| 183500000X Pharmacist (Licence: VA 0202207913) | |
| 183500000X Pharmacist (Licence: OH 03-3-26674) | |
| Enumeration Date | 2009-03-07 |
| Last Update Date | 2021-01-28 |