| NPI | 1336429794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 057990-1) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR 0012994) |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2013-07-08 |