| NPI | 1104251024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 67494) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY I058119) |
| 183500000X Pharmacist (Licence: NJ 28RI03560900) | |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2013-09-10 |