| NPI | 1629513064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 062746) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH236792) |
| Enumeration Date | 2016-12-20 |
| Last Update Date | 2017-03-24 |