| NPI | 1649603820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NH 3930) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH234770) |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2015-08-14 |