| NPI | 1700152444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NH R0365) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH232611) |
| 183500000X Pharmacist (Licence: WA PH60216487) | |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2021-04-08 |