| NPI | 1144506528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 50516) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT 10313) |
| Enumeration Date | 2011-10-29 |
| Last Update Date | 2011-10-29 |