| NPI | 1710161468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 49645) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ME pr5042) |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2022-05-26 |