| NPI | 1114266905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 052841-1) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 17457) |
| 183500000X Pharmacist (Licence: FL PS48488) | |
| 183500000X Pharmacist (Licence: TX 51096) | |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2013-08-13 |