| NPI | 1154523991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 28812) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 50472) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2007-07-08 |