| NPI | 1881059731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MT PHA-PHA-LIC-35240) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH236310) |
| Enumeration Date | 2015-12-18 |
| Last Update Date | 2015-12-18 |