| NPI | 1396068276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 028777-1) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VT 0330003748) |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2010-03-08 |