| NPI | 1659883254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 062604) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VT 033.0119778) |
| Enumeration Date | 2017-11-04 |
| Last Update Date | 2017-11-04 |