| NPI | 1649805854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VT 033.0134443) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NH PHCY-00870) |
| 183500000X Pharmacist (Licence: ND RPh6550) | |
| Enumeration Date | 2020-03-08 |
| Last Update Date | 2025-07-17 |