| NPI | 1053633180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 051583) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 61084) |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2010-04-12 |