| NPI | 1164719571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 055453) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS47049) |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2011-07-07 |