| NPI | 1780985168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH232416) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: UT 6669862-1701) |
| Enumeration Date | 2010-11-16 |
| Last Update Date | 2012-04-11 |