| NPI | 1689875387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 044820) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA 07554) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2010-11-22 |