| NPI | 1306230651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 060115) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH235474) |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2015-03-25 |