| NPI | 1659929198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH239102) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VT 033.0134297) |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2025-07-29 |