| NPI | 1053541136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 053993) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 20412) |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2012-02-15 |