| NPI | 1598197071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VT 033.0097457) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 063838) |
| 183500000X Pharmacist (Licence: NH 3900) | |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2018-02-12 |