| NPI | 1518261338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 41398) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VT 033.0003183) |
| 183500000X Pharmacist (Licence: MA 21881) | |
| Enumeration Date | 2011-01-08 |
| Last Update Date | 2011-01-08 |