| NPI | 1306169511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL ps47326) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 054241) |
| 183500000X Pharmacist (Licence: MD 18799) | |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2014-05-01 |