| NPI | 1053742981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 041010) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS0027438) |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2013-12-03 |