| NPI | 1114010444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP036279R) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 032401-1) |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2007-07-08 |