| NPI | 1831715382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH239896) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: MA PI164293) |
| Enumeration Date | 2020-06-21 |
| Last Update Date | 2020-11-09 |