| NPI | 1245672161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 058806) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 23602) |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2016-02-11 |