| NPI | 1659694115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 054226) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA 027167) |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2010-03-11 |