| NPI | 1104125830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VT 033-0003759) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NH 3431) |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2025-08-14 |