| NPI | 1861767345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NH R1846) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VT 033.0003763) |
| 183500000X Pharmacist (Licence: VA 0202205981) | |
| 183500000X Pharmacist (Licence: MA PH20198) | |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2012-03-15 |