| NPI | 1295913911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 050057-1) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 10245-040) |
| 183500000X Pharmacist (Licence: MI 5302025643) | |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2008-02-05 |