| NPI | 1205041142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 54484-1) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA 26042) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2010-10-18 |