| NPI | 1124396338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT PCT.0012030) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 061569) |
| Enumeration Date | 2011-12-02 |
| Last Update Date | 2018-03-27 |