| NPI | 1699204628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT PCT0013567) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH236591) |
| Enumeration Date | 2017-06-04 |
| Last Update Date | 2017-06-04 |