| NPI | 1962015131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH237890) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NH PHCY-04307) |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-28 |