| NPI | 1609191873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 045872) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA 20702) |
| Enumeration Date | 2010-03-31 |
| Last Update Date | 2010-03-31 |