| NPI | 1245559830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 20041) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY I054408) |
| Enumeration Date | 2010-05-22 |
| Last Update Date | 2014-10-07 |