| NPI | 1962720318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH27616) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT PCT.0011518) |
| Enumeration Date | 2010-05-10 |
| Last Update Date | 2010-05-10 |