| NPI | 1780022632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH234718) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS50743) |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2013-08-01 |