| NPI | 1831360924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH27711) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 053236) |
| 183500000X Pharmacist (Licence: CT PCT.0012290) | |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2012-12-19 |