| NPI | 1689110694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NH 4281) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 069857) |
| 183500000X Pharmacist (Licence: MA PH240904) | |
| Enumeration Date | 2017-01-13 |
| Last Update Date | 2023-08-28 |