| NPI | 1639548985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 28559) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH235351) |
| 183500000X Pharmacist (Licence: NH 3963) | |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2022-09-23 |