| NPI | 1124326459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA ph17258) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VT 033.0002922) |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2011-03-10 |