| NPI | 1659621969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH235289) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT PCT.0012379) |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2019-05-03 |