| NPI | 1053773192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 061520) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH236462) |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2016-03-28 |