| NPI | 1457683732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 049869) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA 24493) |
| Enumeration Date | 2010-02-11 |
| Last Update Date | 2014-02-28 |