| NPI | 1902968738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 043053) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA 22992) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2017-02-13 |