| NPI | 1639329311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 053029) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA 027734) |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2010-02-10 |