| NPI | 1184079543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH234473) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VT 033.0115609) |
| 183500000X Pharmacist (Licence: MI 5302038298) | |
| 183500000X Pharmacist (Licence: WI 15142-40) | |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2016-05-04 |