| NPI | 1649632043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT PCTT.0010311) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 20260) |
| 183500000X Pharmacist (Licence: MD 19583) | |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2016-03-24 |