| NPI | 1124114913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 23031) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 35819) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2016-07-25 |