| NPI | 1124296199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 041009) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL ps 27000) |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2014-12-18 |