| NPI | 1780966267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA ph25788) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: RI rph04390) |
| 183500000X Pharmacist (Licence: VT 0330003900) | |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2011-09-12 |