| NPI | 1316249204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 050413-1) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI02809700) |
| 183500000X Pharmacist (Licence: MN 118426) | |
| Enumeration Date | 2010-11-27 |
| Last Update Date | 2017-05-03 |