| NPI | 1083906069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 20288) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 12883) |
| 183500000X Pharmacist (Licence: NY 047319) | |
| Enumeration Date | 2011-05-09 |
| Last Update Date | 2013-09-03 |