| NPI | 1073880670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 054308) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT 0011496) |
| 183500000X Pharmacist (Licence: VA 0202210768) | |
| Enumeration Date | 2011-11-27 |
| Last Update Date | 2015-05-06 |