| NPI | 1205158672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY I053791-1) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 23003) |
| Enumeration Date | 2010-02-25 |
| Last Update Date | 2017-08-17 |