| NPI | 1982936217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 036729) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28ri02288000) |
| 183500000X Pharmacist (Licence: MA ph19833) | |
| Enumeration Date | 2010-02-11 |
| Last Update Date | 2010-02-11 |