| NPI | 1104001262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 044412) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 16532) |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2011-11-04 |