| NPI | 1851666358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VT 033.0080690) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY I055877-1) |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2012-03-15 |