| NPI | 1942613914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH235872) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 058985) |
| Enumeration Date | 2014-06-08 |
| Last Update Date | 2015-09-29 |