| NPI | 1245664267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 058435) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT PCT.0012776) |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2015-02-21 |