| NPI | 1700481413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT 0016569) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: MA PI165412) |
| Enumeration Date | 2020-12-01 |
| Last Update Date | 2024-09-10 |