| NPI | 1144633850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 58370) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH027553) |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2014-06-10 |