| NPI | 1659653541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NH 3745) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH233725) |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2011-09-15 |