| NPI | 1790118925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH17966) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VT 033.0048345) |
| 183500000X Pharmacist (Licence: NH R2343) | |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2013-08-12 |