| NPI | 1306243365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS46993) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 059131) |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2016-05-23 |