| NPI | 1174762868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 052365) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ME pr5215) |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2009-02-19 |