| NPI | 1063699692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 049025) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL ps37491) |
| 183500000X Pharmacist (Licence: WA ph00018863) | |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2010-06-11 |