| NPI | 1073894010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS47815) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 056755) |
| Enumeration Date | 2011-09-05 |
| Last Update Date | 2015-01-12 |