| NPI | 1427537778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 064266) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VT 033.0134312) |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2019-11-07 |