| NPI | 1366091308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH25450) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VT 033.0082402) |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2020-04-30 |