| NPI | 1780296152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NH PHCY-00991) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH236900) |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-08-18 |