| NPI | 1184951071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 053775) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH27221) |
| Enumeration Date | 2009-11-12 |
| Last Update Date | 2013-07-11 |