| NPI | 1073500245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA 25350) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 046903-1) |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2007-07-25 |