| NPI | 1871196691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH235562) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NH 4019) |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2020-11-17 |