| NPI | 1831569722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 060582) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH236287) |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2015-10-05 |