| NPI | 1568786853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH 20255) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 042007) |
| Enumeration Date | 2010-03-16 |
| Last Update Date | 2021-10-21 |