| NPI | 1306236898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 062814) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP451082) |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2017-05-07 |