| NPI | 1154612893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY i0556101) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP036799L) |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2015-03-16 |