| NPI | 1104871771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 35927) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PR 2228) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2007-07-08 |