| NPI | 1972885879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH22573) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NH 2927) |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2011-09-15 |