| NPI | 1659657559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT pct.0011430) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NH R2298) |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2013-01-23 |