| NPI | 1376060491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NH PHCY-04345) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VT 033.0131342) |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2021-04-23 |