| NPI | 1255654455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 053923) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03285600) |
| 183500000X Pharmacist (Licence: FL PS53459) | |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2015-09-16 |