| NPI | 1306131057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 20053393) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202208729) |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2011-06-10 |