| NPI | 1437500428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA ph18305) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VT 033.0003300) |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2016-06-30 |