| NPI | 1689008872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH234801) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT PCT.0012784) |
| Enumeration Date | 2013-08-25 |
| Last Update Date | 2023-12-27 |