| NPI | 1164791232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL ps039336) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY I057705-1) |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2016-01-14 |