| NPI | 1083957005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 057720-1) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202208618) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2013-03-27 |