| NPI | 1225445026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 062823) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VT 033.0103890) |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2021-02-08 |