| NPI | 1316248644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 054473) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT 054473) |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2012-07-20 |