| NPI | 1013193408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA 24696) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 050198) |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2008-01-15 |