| NPI | 1710205448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA 19278) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NH 2436) |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2010-05-05 |