| NPI | 1750750774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH237328) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT 0013148) |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2022-10-04 |