| NPI | 1194048173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 20052784) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 37982) |
| 183500000X Pharmacist (Licence: WI 12801-40) | |
| Enumeration Date | 2010-03-05 |
| Last Update Date | 2010-03-05 |