| NPI | 1063792513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S020998) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 056085) |
| Enumeration Date | 2011-08-27 |
| Last Update Date | 2015-05-24 |