| NPI | 1255801361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH238346) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT PCT.0014623) |
| 183500000X Pharmacist (Licence: VT 033.0134213) | |
| Enumeration Date | 2018-12-01 |
| Last Update Date | 2018-12-01 |