| NPI | 1154649655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 20054046) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH 25212) |
| Enumeration Date | 2010-05-07 |
| Last Update Date | 2010-05-07 |