| NPI | 1215524525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 069178) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NH PHCY-01111) |
| 183500000X Pharmacist (Licence: VT 033.0134445) | |
| Enumeration Date | 2020-12-22 |
| Last Update Date | 2025-06-10 |