| NPI | 1861774796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH20777) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS31243) |
| 183500000X Pharmacist (Licence: CA RPH51951) | |
| 183500000X Pharmacist (Licence: MI 5302036210) | |
| Enumeration Date | 2011-09-16 |
| Last Update Date | 2011-09-16 |